Major review on future of health and care begins
A major review across Greater
Manchester on the future of health and care services is launched
today, Tuesday 8 July 2014. Plans for better access to GPs, better
services in the community and hospitals sharing their expert
clinicians across boundaries are central to a vision to transform
health and social care across Greater Manchester, with the aim to
deliver the best heath and care in the country for the people of
New proposals were formally launched at the Museum of Science
and Industry by the leaders of the 12 Clinical Commissioning Groups
in Greater Manchester, along with the Association of Greater
Manchester Authorities and NHS England.
NHS England gave the green light to go ahead to formally seek
the views of the people of Greater Manchester following a rigorous
assessment of the proposals.
The plans have been developed over the course of the past 2
years, with patients, carers, as well as doctors, nurses and other
health and social care professionals, telling us that the need to
transform our health and social care services is clear.
A major publicity campaign will now get underway to encourage
everyone in Greater Manchester to give their views on what best
care means to them, and to comment on the proposals that have been
drawn up. Information will be available through GPs, pharmacies,
libraries etc., and also through "non-traditional" places such as
pubs and bingo halls. Public events will take place in every
borough, and people will also be encouraged to give their views via
the internet or social media.
Responding to the demand for better access to GP services, the
new plans pledge that people with a clinical need will have
same-day access to primary care 7 days a week, with the necessary
diagnostic tests available. Currently over 300,000 people have more
weekend and evening access to GP and primary care services,
with an ambition to extend to one million people over the next 12
months. This forms part of a wide ranging strategy for Primary Care
across Greater Manchester which sets out plans to further develop
services provided by GPs, Dentists, Pharmacists and
More services should also be provided in the community and
closer to home for many people, with care better coordinated across
all the different agencies involved, including health and social
Stockport GP Dr Ranjit Gill, who heads up Stockport
Clinical Commissioning Group, said:
"General Practice can do so much more to help people stay
well, detect long-term conditions earlier, and treat acute ill
health more quickly than at present. We can prevent so much
avoidable emergency hospitalisation by having a proactive GP led
system, that people find responsive, every day.
"The boundaries between the
different organisations providing this
care and support, including the NHS,
local authorities and the voluntary sector
should be removed, allowing seamless and
straightforward care for local people."
Councillor Cliff Morris, Leader of Bolton Council,
"Each Greater Manchester Local Authority is working with
local health partners to provide more effective joined up health
and social care. This means people who don't need to go into
hospital can receive the treatment they need in their own homes, or
closer to home and make sure those who leave hospital receive
adequate support to get well. This support will meet individual
patient needs and may come from GPs, from community nurses, from
social care workers or from the voluntary sector. We are clear that
this improvement in GP services and joined up care needs to be up
and running before the changes to the hospital services are
Dr Chris Brookes, Accident & Emergency
consultant and Medical Director of Healthier Together, said:
"Our vision is to deliver the best health and care in the
country for our population in Greater Manchester. We all want the
best care for ourselves and our families.
"In some places, people already receive the best possible
care available. In others, the care does not meet the standards we
expect, never mind the best available.
"Variation in quality of hospital treatment is a major
factor in mortality of patients. I believe we can save over 1,000
lives over a five year period if we share services across a wider
area, with clinicians from neighbouring hospitals working as a
"Expert knowledge and clinical lessons can be shared
across the team, and that will have a huge impact on training and
expertise, and ensure that clinicians are carrying out procedures
that they do more regularly and are familiar with. At the moment
our specialist resources are spread thinly across 10 hospital sites
making it difficult for each hospital to ensure that consultants
are present to deliver and direct care seven days per week and 24
hours per day. This means there are worse outcomes for
patients who become ill or sustain an injury at evenings and
The shared hospital service concept is in line with Healthier
Together' s ambitions to provide more care in the community working
with local authorities and greater access to GP services and
primary care. Under the proposals for hospitals, services for the
most severely ill patients will be carried out by the teams working
together across hospitals, with the most specialist care being
undertaken on fewer sites. All other care will continue at all
hospitals. It is proposed that there will either be 4 or 5
specialist sites across Greater Manchester.
No District General Hospitals will close under the proposals,
and no Accident & Emergency departments will close, though some
services will change.
For further information, or to view and complete the
consultation questionnaire, visit the Healthier Together website www.healthiertogethergm.nhs.uk
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Notes to Editors
Healthier Together is part of the Greater Manchester Programme
for Health and Social Care Reform, which aims to provide the best
health and care for Greater Manchester.
There are three elements to Healthier Together - Integrated Care
and Primary Care (which make up Community Based Care) and In
Healthier Together has four core principles; The best healthcare
for you, your family and your neighbour; Better access to GPs;
Saving more lives by improving quality; Help us improve our ideas
by telling us what you think.
Working in partnership with partners, voluntary organisations
and the 10 local authorities across Greater Manchester, the
programme is clinically led, and is managed by the Service
Transformation team which is accountable to the 12 Clinical
Commissioning Groups (CCGs).
The consultation will propose Salford Royal, Central Manchester
Hospitals and the Royal Oldham as Specialist Hospitals and then the
options for an additional one or two Specialist Hospitals
- If there is One Additional specialist site, it would be one of
Wigan, Bolton, Stockport or UHSM
- If there are Two Additional specialist sites, it would be
Wigan or Bolton PLUS Stockport or UHSM
This means that the local general hospitals ("fixed points")
will be Fairfield Hospital in Bury, Tameside Hospital, and North
Manchester Hospital. Rochdale Infirmary and Trafford General
Hospital will remain as now.
These options have been developed through a rigorous appraisal
process which has considered patient activity and flows of patients
between hospitals, clinical standards, workforce issues (e.g.
number of consultants required), travel and access standards,
financial considerations etc.
These details are all covered in the "pre-consultation business
case" (PCBC) which the Clinical Commissioning Groups considered at
their meeting on 4 June 2014.
The Healthier Together programme is about reducing the current
inequalities in Health outcomes across Greater Manchester. Its aim
is to ensure there is reliable, high quality care provided to
patients whenever and wherever they access health care.
This especially applies to emergency general surgery where if
all trusts in Greater Manchester performed at the level of the
trust nationally with the lowest number of deaths in General
Surgery, 1445 in-hospital deaths across Greater
Manchester could be reduced over 5 years.
This information has been verified by the Dr Foster Intelligence
organisation, recognised as being the authority on healthcare